Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT04926467

Chemotherapy + Anakinra in Patients With Pancreatic Adenocarcinoma (PDAC)

Led by Baylor Research Institute · Updated on 2025-11-10

24

Participants Needed

1

Research Sites

305 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Based on a central role of inflammation in pancreas cancer, the role of IL 1 in acute and chronic inflammation , the inhibitory effect of IL 1 alfa and beta by anakinra and preliminary experience with anakinra in combination with chemotherapy in metastasis (with FOLFIRINOX) and localized disease (with gemcitabine/abraxane/cisplatin), a phase 2 study with anakinra in combination with perioperative chemotherapy for patients with PDAC is being proposed.

CONDITIONS

Official Title

Chemotherapy + Anakinra in Patients With Pancreatic Adenocarcinoma (PDAC)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years of age or older
  • Histologically or cytologically confirmed pancreatic ductal adenocarcinoma, including mixed subtypes with majority ductal
  • Resectable, locally advanced, or potentially resectable pancreatic adenocarcinoma
  • American Joint Committee on Cancer Stage I to III pancreatic carcinoma
  • Eastern Cooperative Oncology Group Performance Status of 0 to 1
  • Serum albumin level greater than or equal to 2.0 g/dL
  • Adequate blood cell counts: absolute neutrophil count at least 1500/mm3, platelets at least 70,000 x 10^3/µl, hemoglobin at least 9 g/dL without recent transfusion
  • Adequate liver function: total bilirubin less than or equal to 2 times upper limit of normal, ALT and AST less than or equal to 2.5 times upper limit of normal
  • Adequate kidney function with serum creatinine less than or equal to 1.5 times upper limit of normal or creatinine clearance at least 50 mL/min
  • Agreement to use contraception during the study and for one month after last Anakinra dose (for women of childbearing potential and men)
  • Ability to understand and sign informed consent
  • Accessible for treatment and follow-up
Not Eligible

You will not qualify if you...

  • Under 18 years of age
  • History of organ transplant
  • Islet cell neoplasms
  • Stage IV pancreatic carcinoma
  • Active, uncontrolled infections requiring systemic therapy
  • Known active hepatitis B or C infection
  • Clinically significant cirrhosis
  • HIV positive status
  • Current active immunosuppressive therapy (e.g., cyclosporine, tacrolimus)
  • Major surgery or vascular device placement within 2 weeks before treatment start
  • Prior chemotherapy or radiation for pancreatic cancer
  • Allergy or hypersensitivity to study drugs
  • Participation in other therapeutic clinical trials with investigational drugs within 5 half-lives prior to study
  • Previous or current treatment with IL-1 inhibitors such as Anakinra or Canakinumab
  • Other malignancies within 5 years except certain skin or cervical cancers unless recurrence risk is less than 5%
  • Significant cardiac disease within last 6 months
  • Severe or uncontrolled medical conditions deemed unsuitable by investigator
  • Peripheral sensory neuropathy grade 2 or higher at baseline
  • Abnormal liver tests: total bilirubin greater than 2 times ULN or AST/ALT greater than 5 times ULN
  • Serum albumin less than 2.0 g/dL
  • Abnormal blood counts: ANC less than 1500/mm3, platelets less than 70,000 x 10^3/µl, hemoglobin less than 9 g/dL without transfusion
  • Pregnant or nursing women
  • No signed informed consent form

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Baylor University Medical Center, Charles A Sammons Cancer Center

Dallas, Texas, United States, 75246

Actively Recruiting

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Research Team

P

Page Blas, MA

CONTACT

J

Joyce Ghormley

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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